Bonnicksen, Colleen Rose Witt

Bonnicksen, Colleen Rose Witt is an sole proprietor health care provider with primary practice located at 6121 Coburg Ln , Missoula MT 59803-9501. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bonnicksen, Colleen Rose Witt can be contacted via phone (499) 933-4152.

Contact Information

Primary practice address
6121 Coburg Ln Missoula MT 59803-9501
Phone: (499) 933-4152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0001571 Colorado
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8963 Massachusetts
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2019031366 Missouri

Profile Details

NPI number 1174951164
LBN Legal business name Bonnicksen, Colleen Rose Witt
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2013
Last updated Feb 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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